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SAN J O A Q U I N Environmental Health Department <br /> C OLS N T Y <br /> Corrective Action Statement <br /> RE: May 13, 2020, Hazardous Waste inspection report <br /> For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Jason Gaitan at(209)468-9848 or jgaitan{,sigov.org. <br /> Facility name: IMPERIAL WESTERN PRODUCTS Submit completed form to: <br /> Facility address: 20500 S HOLLY DR SJC ENVIRONMENTAL HEALTH DEPARTMENT <br /> CERS ID: none ATTN: JASON GAITAN <br /> PR0545793 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Violation#110-Failed to keep signed copy of manifests from the designated facility for three years. <br /> IX This violation was corrected ❑This violation will be corrected by(date): <br /> 13 Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> IWP, Tracy has used motor oil collection set up with Sacramento Waste Oil, 4504 Dunnbury Way, Sacramento, CA 95842 <br /> IWP, Tracy has not had a need for service yet. Going forward service manifest will be kept on sight for a period of 3 years. <br /> I <br /> Violation#113-Failed to keep copies of consolidated manifesting receipts for three years. <br /> M This violation was corrected ❑This violation will be corrected by(date): <br /> ® Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Same as Above <br /> Violation#119-Failed to report program data in the California Environmental Reporting System(CERS). <br /> ® This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: Submitted 5121120. CERS ID# 10842199 <br /> Page 2 of 3 <br /> Rev.812712019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />